Provider Demographics
NPI:1639965981
Name:JENRO HOLDINGS LLC
Entity type:Organization
Organization Name:JENRO HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-852-1800
Mailing Address - Street 1:2316 TIMBER SHADOWS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2026
Mailing Address - Country:US
Mailing Address - Phone:281-852-1800
Mailing Address - Fax:281-358-4446
Practice Address - Street 1:2316 TIMBER SHADOWS DR STE 100
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2026
Practice Address - Country:US
Practice Address - Phone:281-852-1800
Practice Address - Fax:281-358-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Single Specialty